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Home My WebLink AboutFAI15-0097 079-230-017 CF Alt Ext Sys 2015 tqsrn SimplexGrinnell SEMI ANNUAL GAS EQUIPMENT TEST REPORT FEATHER FALLS CASINO 3 ALVERDA DR. OROVILLE, CA. 95966 9/15/2015 SimplexGrinnell 4650 Beloit Drive Sacramento, CA 95838 916-283-0300 tqi SimplexGrinnell 4650 Beloit Drive, Sacramento CA 95838 - (916) 283-0300 Fax- (916) 920-2241 GAS EQUIPMENT TEST REPORT Technician #1 CHRIS James Technician #2 Cell Phone# 530-207-7582 Cell Phone# September 15, 2015 Customer Name: Property address: (if different) FEATHER FALLS CASINO 3 ALVERDA DR. 3 ALVERDA DR. OROVILLE, CA. 95966 OROVILLE, CA. 95966 Contact Information: Monitoring Information: Name: Troy Central Station: Certified Phone: 530-533-3885 Acct#: 0 Fax: 530-533-4860 Phone: 0 Time of Test 0:00 Operator#& Name: 0 GAS SYSTEM: Control Panel Status Before Test: Panel Type: ANSUL Model: IQ301 Yes No #of Sys Notes: Halon X CO2 X FM200 X 4 SEE TANK PAGE Intergen X Stamped Tank Weight: SEE TANK PAGE Acutal Tank Weight SEE TANK PAGE #of Nozzels: N/A Disconnect Switch X Is Power Light On? X Does the Panel Indicate Normal Condition? X Is the panel in a Trouble Condition? X Are all Indicating Lamp Bulbs in Operating Order? X does the Silence Switch Operate? X Do the Batteries indicate they are Properly Charged? X Type Pass Fail Amp/VIt Date Battery#1 X 5AH 12V Jun-12 Battery#2 X 5AH 12V Jun-12 September 15, 2015 FEATHER FALLS CASINO 3 ALVERDA DR. OROVILLE, CA. 95966 Device Floor Zone Alarm Trouble Device Location Note: SMOKE 1 D22 PASS NA BLUE ROOM DATA 160 NOTE 1,4 SMOKE 1 D21 PASS NA BLUE ROOM DATA 160 NOTE 1,4 PULL ST. 1 M25 PASS NA BLUE ROOM DATA 160 NOTE 1,4 ABORT 1 M26 NA PASS BLUE ROOM DATA 160 NOTE 1,4 SMOKE 1 D31 PASS NA STAIRWELL DATA ROOM 159 NOTE 1,4 SMOKE 1 D32 PASS NA STAIRWELL DATA ROOM 159 NOTE 1,4 PULL ST. 1 M35 PASS NA STAIRWELL DATA ROOM 159 NOTE 1,4 ABORT 1 M36 NA PASS STAIRWELL DATA ROOM 159 NOTE 1,4 SMOKE BASE D11 PASS NA BASEMENT DATA ROOM NOTE 1,4 SMOKE BASE D12 PASS NA BASEMENT DATA ROOM NOTE 1,4 PULL ST. BASE M15 PASS NA BASEMENT DATA ROOM NOTE 1,4 ABORT BASE M16 NA PASS BASEMENT DATA ROOM NOTE 1,4 SMOKE 2 D41 PASS NA MARKETING/DATA RM 208 NOTE 4 SMOKE 2 D42 PASS NA MARKETING/DATA RM 208 NOTE 4 PULL ST. 2 M45 PASS NA MARKETING/DATA RM 208 NOTE 4 ABORT 2 M46 NA PASS MARKETING/DATA RM 208 NOTE 4 Tyco SimplexGrinnell 4650 Beloit Drive, Sacramento CA 95838— (916)283-0300 —(916)920-2241 TANK INFO Date: 9/15/2015 Customer: FEATHER FALLS CASINO Address 3 ALVERDA DR. City, State OROVILLE, CA. 95966 SR# 32996908 Contact: Troy 530-533-3885 SERIAL# STAMPED WT. ACTUAL WT. TEMP LOCATION AA173784 59 LBS. 60 lbs 68.5 DEG RM 160 BLUE DATA AA173777 59 LBS. 60 lbs 73.5 DEG STRWELL DATA RM 159 AA173800 59 LBS. 59 lbs 71 DEG BASEMENT DATA RM AA173757 58 LBS. 60 lbs 70 DEG RM 208 MKTING DATA tqca SimplexGrinnell 4650 Beloit Drive, Sacramento CA 95838 — (916) 283-0300 — (916) 920-2241 Deficiency Report Date: 9/15/2015 Customer: FEATHER FALLS CASINO Address 3 ALVERDA DR. City, State OROVILLE, CA. 95966 SR # 32996908 Were Do Repairs Repairs need to be Made Quoted Yes/No Yes/No 1 LABEL CHANGE PER LIST NO YES 3 MISSING CEILING TILE OR CEILING TILES NEED TO BE PATCHED NO NO 4 DOORS IN TO PROTECTED AREAS NEED SIGNAGE NO YES tqccs SimplexGrinnell 4650 Beloit Drive, Sacramento CA 95838 — (916) 283-0300 — (916) 920-2241 FEATHER FALLS CASINO SR# 32996908 3 ALVERDA DR. IS THERE A DEFICIENCY? OROVILLE, CA. 95966 YES X NO Troy Equipment Test Report Yes No Qty Notes: NA If"No" answer, explain under comr Were Tested Detectors Sensitivity Tested? II NA I I If"No"answer, explain under comments Did test of Duct Dectors shut down air handling units: NA Did the monitoring center receive signals? X Central Station, Fire Department, Lease Line? Is system reset for normal conditions? X Is system restored to operational service? X Operator and Time system put back on line? Operator: Time: Have proper authorities been notified system is back in service? X Indicate % of Equipment tested this report 25 50 75 100 Indicate % of equipment tested YTD 25 50 75 100 Comments for any"No" answers or explanations: Did you receive a copy of your inspection report? YES X NO If no how would you perfer to receive your report: Email: troydonnelson@featherfallscasino.com FAX 530-533-4860 We appreciate your business. Thank you! Customer Date Ch 'Ja 9/15/15 Inspector Date IF YOU HAVE ANY QUESTIONS REGARDING THIS INSPECTION AND/OR REPORT PLEASE CONTACT: Our office at 916-283-0300